Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PE0004X | Emergency Medical Services | 0101043050 | VA |
N | 207RA0401X | Internist - Addiction Medicine | 0101043050 | VA |
NPI | 1043323058 |
---|---|
Provider Name | David Kc Langille |
First Address | Cincinnati, OH 45202-1457 |
Second Address | Virginia Beach, VA 23452-7523 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/08/2006 |
Last Update Date | 05/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
010146135 | (05) | VA |
067TT | BLUE CROSS BLUE SHIELD NC (01) | |
082480 | BLUE CROSS BLUE SHIELD VA (01) | |
251490 | MAMSI/MDIPA (01) | |
5900447 | (05) | NC |
9300570 | OPTIMUM CHOICE (01) | |
93215 | OPTIMA (01) | |
P00201468 | MEDICARE RAILROAD (01) |